LAURA SULLIVAN (NPI# 1023501590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023501590 |
| Entity Type | Individual |
| Full Name | LAURA SULLIVAN |
| Credential | LMSW |
| Practice Address |
321 W Onondaga St Syracuse NY 13202-3207 |
| Mailing Address |
321 W Onondaga St Syracuse NY 13202-3262 |
| Practice Telephone | 3154780610 |
| Practice Fax Number | 3154782510 |
| Mailing Telephone | 3154780610 |
| Mailing Fax Number | 3154782510 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
098201-1-9853022 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531062 | Laura Sullivan | Nurse Practitioner | 2465 Route 97 Ste 10, Glenwood, MD 21738-9749 | 2020-02-27 |
| 1992292080 | Laura Anne Sullivan | Specialist | 5 Terrace Pl, Glen Cove, NY 11542-2427 | 2018-04-16 |
| 1164833232 | Laura Sullivan | Occupational Therapist | 30 Sheffield Rd, Wilton, NY 12831-1494 | 2014-05-12 |
| 1912337502 | Laura Sullivan | Physical Therapist | 1900 American Eagle Drive, Slinger, WI 53086-9043 | 2013-11-18 |
| 1558686063 | Laura Ann Sullivan | Social Worker | 60 Perseverance Way Fl 2, Hyannis, MA 02601-1843 | 2010-03-29 |
| 1649409632 | Laura Grace Sullivan | Dentist | 1949 Cr 210 W, Saint Johns, FL 32259-2062 | 2009-07-10 |
| 1083809818 | Laura E Sullivan | Pharmacist | 3303 Grand Oaks Ct, Pittsburg, KS 66762-8737 | 2007-09-14 |
| 1932266137 | Laura Sullivan | Marriage & Family Therapist | 18 S Indiana St, Mooresville, IN 46158-1648 | 2007-01-03 |
| 1902994841 | Laura Sullivan | Psychologist | Adult Admissions Unit, John Umstead Hospital, Butner, NC 27509 | 2006-10-10 |
| 1700892437 | Laura Sullivan | Internal Medicine | 7316 S. Settler Dr., Morrison, CO 80465 | 2006-08-01 |
| Street Address |
321 W ONONDAGA ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174715114 | Zsuzsa Szombathyne Meszaros | Psychiatry & Neurology | 321 W Onondaga St, Suite 201, Syracuse, NY 13202-3207 | 2007-08-14 |
| 1710593090 | Sarah Rose Bennett | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2020-09-22 |
| 1447865613 | Jaclyn Abbott | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-09-14 |
| 1407461924 | Jillian Colby Deland | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-09-11 |
| 1760011829 | Kyle David Holst | Peer Specialist | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-04-02 |
| 1114560182 | Michelle Kluczinske | Registered Nurse | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2019-10-23 |
| 1730736711 | Nicole A Wenham | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-08-23 |
| 1871148486 | Joshua David Salvage | Student in an Organized Health Care Education/Training Program | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-08-09 |
| 1659923845 | Alyssa Lynn Swierk | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-07-09 |
| 1497314728 | Jessica Kish | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265694079 | Syracuse Community Health Center Inc. | Clinic/Center | 120 Gifford St, Syracuse, NY 13202-2341 | 2008-07-02 |
| 1366604175 | Syracuse Community Health Center Inc. | Clinic/Center | 1938 E Fayette St, Syracuse, NY 13210-1339 | 2008-07-02 |
| 1861563561 | Holdings,llc | Clinic/Center | 550 Harrison St Ste 230, Syracuse, NY 13202-3064 | 2006-11-13 |
| 1508898321 | Central New York Services.inc. | Clinic/Center | 375 W Onondaga St, Suite 23, Syracuse, NY 13202-3280 | 2006-07-06 |
| 1407325095 | Community Birth Group | Clinic/Center | 1859 W 2175 S, Syracuse, UT 84075-8567 | 2018-11-13 |
| 1285126581 | Roberta A Root | Clinic/Center | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2018-06-01 |
| 1841727252 | Central New York Services, Inc | Clinic/Center | 518 James St, Suite240, Syracuse, NY 13203-2238 | 2017-05-16 |
| 1184974529 | Suny Healthscience Center At Syracuse | Clinic/Center | 750 East Adams Street, Syracuse, NY 13210-2306 | 2012-09-13 |
| 1538321344 | Syracuse Community Health Center Inc. | Clinic/Center | 603 Oswego St, Syracuse, NY 13204-3127 | 2008-07-02 |
| 1942341532 | St. Camillus Residential Health Care Facility | Clinic/Center | 813 Fay Rd, Syracuse, NY 13219-3009 | 2007-02-08 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.